Short-Term Outcome Among Patients With Leukemia and Lymphoma Admitted to a Medical Intensive Care Unit

Introduction. Refractory status epilepticus (RSE) has significant morbidity and mortality, and its management requires an accurate diagnosis and aggressive treatment. Objectives. To describe the experience of management of RSE in a neurological intensive care unit (NeuroICU) and determine predictors of short-term clinical outcome. Methods. We reviewed cases of RSE from September 2007 to December 2008. Management was titrated to findings on continuous video EEG (cVEEG). We collected patients’ demographics, RSE etiology, characteristics of seizures, cVEEG findings, treatments, and short-term outcome. Control of RSE was to achieve burst suppression pattern or electrographic cessation of ictal activity. Results. We included 80 patients; 63.8% were in coma, 25% had subclinical seizures, and 11.3% had focal activity. 51.3% were male and mean age was 45 years. Etiology was neurological lesion in 75.1%, uncontrolled epilepsy in 20%, and systemic derangements in 4.9%. 78.8% were treated with general anesthesia and concomitant anticonvulsant drugs. The control of RSE was 87.5% of patients. In-hospital mortality was 22.5%. The factors associated with unfavorable short-term outcome were coma and age over 60 years. Conclusions. RSE management guided by cVEEG is associated with a good seizure control. A multidisciplinary approach can help achieve a better short-term functional outcome in noncomatose patients.

Download Full-text

Potential impact of pulmonary artery catheter placement on short-term management decisions in the medical intensive care unit

American Heart Journal ◽

10.1016/0002-8703(93)90693-4 ◽

1993 ◽

Vol 126 (4) ◽

pp. 815-819 ◽

Cited By ~ 9

Author(s):

N.Anthony Coles ◽

Mark Hibberd ◽

Mary Russell ◽

Ted Love ◽

Daniel Ory ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Pulmonary Artery ◽

Pulmonary Artery Catheter ◽

Medical Intensive Care Unit ◽

Catheter Placement ◽

Short Term ◽

Medical Intensive Care ◽

Potential Impact ◽

Term Management

Download Full-text

Short-term outcome of brainstem auditory function in term infants after discharge from the neonatal intensive care unit

The Journal of Maternal-Fetal & Neonatal Medicine ◽

10.1080/14767058.2017.1338262 ◽

2017 ◽

Vol 31 (17) ◽

pp. 2231-2236

Author(s):

Ze Dong Jiang ◽

Chao Chen

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Neonatal Intensive Care Unit ◽

Neonatal Intensive Care ◽

Auditory Function ◽

Short Term ◽

Term Infants ◽

Term Outcome ◽

Short Term Outcome

Download Full-text

Respiratory compliance of newborns after birth and their short-term outcomes

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20170720 ◽

2017 ◽

Vol 4 (2) ◽

pp. 620

Author(s):

Pramila Verma ◽

Ashish Kalraiya

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Neonatal Intensive Care Unit ◽

Neonatal Intensive Care ◽

Respiratory Support ◽

Short Term ◽

Term Outcome ◽

Short Term Outcome ◽

High Flow Oxygen ◽

One Year

Background: Worldwide approximately one million babies die per year due to asphyxia out of which about one third (approximately 3 lakhs) is contributed by our country. The objective of this study was to determine the requirement of respiratory support in newborn babies and their short-term outcomes.Methods: This retrospective observational study was conducted over one year at PCMS and RC Bhopal. Babies who were delivered in PCMS and required respiratory support at birth were enrolled in the study. The medical records of all these babies for resuscitation measures, requirement of respiratory support after hospitalization to the neonatal intensive care unit and their short-term outcome were recorded on a pre-designed study proforma.Results: During post-resuscitation care in neonatal intensive care unit, 55.5% (30/54) babies required respiratory support. Among them 7.4% (4/54) were supplemented with oxygen for a few hrs, 22.2% (12/54) required positive end expiratory pressure and put on high flow oxygen and air mixture for 24-48 hours. While 25.9% (14/54) newborns required mechanical ventilation for 3-7 days and then switched over to CPAP for the next 24-48 hrs. Out of 54 babies eight babies expired while ten babies went against medical advice. Remaining 36 babies were discharged, of which five babies developed hypoxic ishchaemic encephalopathy.Conclusions: It is evident from the present study that half of the resuscitated babies further required respiratory support in the NICU. We also concluded that three fourth of the newborns were discharged and had normal short term outcome.

Download Full-text